Diagnostic Assessment 1

Question 1

Feelings of excessive guilt is a symptom of…(has qualifier(s))

Answer 1

Major Depressive Disorder (if present nearly every day for 2+weeks & represents a change from previous functioning),

Question 2

Significant weight loss when not dieting is a symptom of…

Answer 2

Major Depressive Disorder

Question 3

Insomnia is a symptom of… (has qualifier(s))

Answer 3

Major Depressive Disorder/Episode (if present nearly every day for 2+weeks, OR

Persistent Depressive Disorder (if present while depressed, for more than 2 years)

Question 4

Psychomotor agitation is a symptom of… (has qualifier(s))

Answer 4

Major Depressive Disorder/Episode (if present nearly every day for 2+ weeks, represent a change from previous functioning),

Question 5

Fatigue or decrease in energy is a symptom of ….(has qualifier(s))

Answer 5

Major Depressive Disorder/Episode (if present nearly every day for 2+weeks [loss of energy], OR

Persistent Depressive Disorder (if present while depressed, for more than 2 years) [low energy]

Question 6

Feelings of worthlessness nearly every day is a symptom of…

Answer 6

Major Depressive Disorder/Episode

Question 7

Diminished ability to think or concentrate is a symptom of (note, may have qualifiers) …

Answer 7

Major Depressive Disorder/Episode (if present nearly every day for 2+ weeks & represents a change from previous functioning)

Question 8

Recurrent thoughts of death is a symptom of…

Answer 8

Major Depressive Disorder/Episode

Question 9

Depressed mood most of day is a symptom of…(note: may have qualifier)

Answer 9

Major Depressive Disorder/Episode (if present nearly every day for 2+weeks, OR

Persistent Depressive Disorder (if present while depressed, for more than 2 years)

Question 10

Recurrent suicidal ideation is a symptom of….

Answer 10

Major Depressive Disorder/Episode

Question 11

A suicide attempt or a specific plan for committing suicide is a symptom of…

Answer 11

Major Depressive Disorder/Episode

Question 12

Indecisiveness is a symptom of…(note, may have qualifier)

Answer 12

Major Depressive Disorder/Episode (if present nearly every day for 2+weeks, OR

Persistent Depressive Disorder (if present while depressed, for more than 2 years)

Question 13

Excessive or inappropriate guilt (which may be delusional) is a symptom of…(note: may have qualifier)

Answer 13

Major Depressive Disorder/Episode (if present nearly every day for 2+ weeks)

Question 14

Increase in appetite is a symptom of (note: may have qualifier)

Answer 14

Major Depressive Disorder/Episode (if present nearly every day for 2+weeks, OR

Persistent Depressive Disorder (if present while depressed, for more than 2 years)

Question 15

Psychomotor retardation is a symptom of…

Answer 15

Major Depressive Disorder/Episode (if present nearly every day for 2+weeks & represents a change from previous functioning)

Question 16

Hypersomnia is a symptom of (note, may have qualifiers)

Answer 16

Major Depressive Disorder/Episode (if present nearly every day for 2+weeks, OR

Persistent Depressive Disorder if present more often than not for 2+ years)

Question 17

What disorder(s) occurrence must exclude the past or present occurrence of a manic or hypomanic episode

Answer 17

Major Depressive Disorder AND Persistent Depressive Disorder

Question 18

What disorder(s) occurrence can’t be better explained by schizophrenia, delusional disorder, or another psychotic disorder in order to meet diagnostic criteria?

Answer 18

MDD, Persistent Depressive Disorder, Bipolar Disorder I

Question 19

What disorder’s symptoms are similar to hypothyroidism

Answer 19

MDD and Persistent Depressive Disorder

Question 20

What disorder’s occurrence must exclude (a/any) past history of manic episode(s) [unless substances are involved in episode]?

Answer 20

Bipolar II, MDD, Persistent Depressive Disorder

Question 21

What disorder’s occurrence must exclude psychotic features?

Answer 21

Bipolar II

Question 22

Poor concentration/diminished ability to concentrate is a symptom of …. (has qualifiers)

Answer 22

Major Depressive Disorder/Episode (if present nearly every day for 2+weeks, OR

Persistent Depressive Disorder (if present while depressed, for more than 2 years)

Question 23

Diminished ability to think is a symptom of….(has qualifier(s))

Answer 23

Major Depressive Disorder/Episode (if present nearly every day for 2+weeks

Question 24

For major depressive disorder, ___ or more of the symptoms have been present during the same ____ period and represent a change from _________ ________. At least one of the symptoms is either (1) __________ OR (2) ___________.

Answer 24

For major depressive disorder, 5 or more of the symptoms have been present during the same two period and represent a change from previous functioning. At least one of the symptoms is either (1) depressed mood OR (2) loss of interest or pleasure.

Question 25

For major depressive disorder, ___ or more of the symptoms have been present during the same ____ period.

Answer 25

For major depressive disorder, 5 or more of the symptoms have been present during the same two period.

Question 26

For major depressive disorder symptoms must represent a change from _________ ________.

Answer 26

previous functioning

Question 27

For major depressive disorder, least one of the symptoms is either (1) __________ OR (2) __________

Answer 27

(1) depressed mood OR (2) loss of interest or pleasure.

Question 28

For persistent depressive disorder, depressed mood must be present for at least ____ ______ [time period]

Answer 28

2 years.

Question 29

For persistent depressive disorder, the following symptom MUST be present.

Answer 29

Depressed mood most of the day, for more days than not.

Question 30

For persistent depressive disorder, the individual has never been without symptoms for more than ___ at a time

Answer 30

2 months

Question 31

What is the diagnosis if symptoms of major depressive disorder have been continuously present for 2 years?

Answer 31

persistent depressive disorder

Question 32

For persistent depressive disorder, while depressed, _____ or more of the following symptoms must be present.

Answer 32

2

Question 33

Symptoms of Persistent depressive disorder (list)

Answer 33

1. Depressed mood for most of day + 2 or more of following while depressed: 2. poor appetite or overeating 3. insomnia or hypersomnia 4. low energy or fatigue 5. low self-esteem 6. poor concentration or difficulty making decisions 7. feelings of hopelessness

Question 34

Feeling of hopelessness is a symptom of ....(has qualifiers)

Answer 34

Persistent Depressive Disorder (if present during depression which lasts more days than not, for 2 years)

Question 35

Low self-esteem is a symptom of...(has qualifiers)

Answer 35

Persistent Depressive Disorder (if present while depressed, for more than 2 years)

Question 36

Symptoms of Major Depressive Disorder (list)

Answer 36

5 or more of the following; one must be either (1) depressed mood most of the day, nearly every day, OR (2) markedly diminished interest or pleasure in all or almost all activities, most of the day, nearly every day: 3. Significant weight change or change in appetite nearly every day 4. Insomnia or hypersomnia nearly every day 5. Fatigue or loss of energy nearly every day 6. Psychomotor agitation or retardation nearly every day (must be observable by others) 7. Diminished ability to think or concentrate, or indecisiveness, nearly every day 8. Feelings of worthlessness or excessive guilt (not just about being sick) 9. Recurrent thoughts of death, recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide

Question 37

When might symptoms of mania/hypomania NOT exclude the diagnosis of major depressive disorder?

Answer 37

if the mania- or hypomania-like symptoms were substance-induced.

Question 38

Increased self-esteem or grandiosity is a symptom of...

Answer 38

Manic/Hypomanic Episodes

Question 39

Decreased need for sleep (e.g. feels rested after three hours) is a symptom of ...

Answer 39

Manic/Hypomanic Episodes

Question 40

Feels rested after three hours is an example of what symptom, for what diagnosis?

Answer 40

Decreased need for sleep, symptom of manic/hypomanic episodes

Question 41

More talkative than usual or pressure to keep talking is a symptom of....

Answer 41

manic episode/hypomanic episode

Question 42

A distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased goal-directed activity or energy, lasting at least 1 week and present most of the day, nearly every day (or any duration if hospitalization is necessary) is a criterion of....

Answer 42

manic episode

Question 43

A distinct period of abnormally and persistently _______. ______, or _______ mood and abnormally and persistently increased ________ or _______, lasting at least 4 consecutive days and present most of the day, nearly every day (or any duration if hospitalization is necessary) is a criterion of....

Answer 43

A distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased goal-directed activity or energy, lasting at least 4 consecutive dayes and present most of the day, nearly every day (or any duration if hospitalization is necessary) is a criterion of....

Question 44

a distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased goal-directed activity or energy is present in a hypomanic episode for at least ___

Answer 44

4 consecutive days

Question 45

what symptom(s) must be present for the diagnosis of major depressive disorder/episode

Answer 45

depressed mood OR loss of interest or pleasure in activities

Question 46

which of the following is associated with an unequivocal change in functioning that is uncharacteristic of the individual when not symptomatic?

Answer 46

hypomanic episode

Question 47

a distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased goal-directed activity or energy is present in a manic episode for at least ___

Answer 47

1 week (or any duration if hospitalization necessary)